When,Should,You,Suspect,Gastro health When Should You Suspect Gastroesophageal Reflux?
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Examining the voice box may reveal signs of acid irritation. Further proof of reflux may be obtained through endoscopic examination of the esophagus as well as through x-rays of the upper digestive tract. Asthma attacks often occur at night, so it may be unclear whether an attack is related to reflux. A distinguishing feature of GERD-related asthma may be the patient's inability to prevent night time attacks despite maximal therapy. Treating Gastroesophageal Reflux Patients may reduce reflux by not eating at least two hours before bedtime and by elevating the head of their beds by six to eight inches. Patients should avoid alcohol, caffeine, and highly seasoned foods. Medications such as theophylline and oral corticosteroids may need to be reduced or eliminated in patients who do not respond to medical measures for controlling reflux. Many medications can be used to treat reflux. These medications should only be used as directed by your physician. Tho many patients overuse antacids trying to reduce heartburn. Your physician may prescribe one of a group of medications called H-2 antagonists (cimetadine, ranitidine, famotidine, nizatidine, omeprazole) that inhibit acid production in patients with gastroesophageal reflux. Studies of patients with asthma and reflux who were treated with omeprazole have shown improvment in the asthmatic condition. Your physician may also prescribe a medication that increases esophagus motility and emptying of the stomach, thus reducing reflux. These medications are called prokinetic agents and are taken before meals and at bedtime. Metoclopramide was the first prokinetic agent introduced in the United States, but was found to have significant adverse effects such as drowsiness. A second-generation prokinetic, cisapride, has an extremely low incidence of adverse effects and has effectively reduced GERD. In rare instances medical therapy may fail and surgical treatment should be considered. Aggressively treating gastroesophageal reflux in patients with uncontrolled asthma may successfully reduce the frequency of asthma attacks. This condition should be searched out in patients whose asthma is difficult to control despite maximal therapy. Conclusion: Look for Related Illnesses In this topic asthma and illnesses that may affect the nose and sinuses and digestive tract have been considered. Patients who have unstable asthma should look outside their chests to spot aggravating factors such as sinusitis and reflux of stomach acid. In many patients identifying and treating these related illnesses may improve their bronchial asthma condition. Article Tags: Gastroesophageal Reflux
When,Should,You,Suspect,Gastro